﻿<%@ Page Title="" Language="C#" MasterPageFile="~/MemeberMain.Master" AutoEventWireup="true" CodeBehind="MedicalRResources.aspx.cs" Inherits="outREACH.MedicalRResources" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder3" runat="server">
<div id="header-wrapper">
     
		<div id="header">
       
			<div id="menu">
            
				<ul>
					<li><a id="A1" href="~/HomeMem.aspx" runat="server">HOME</a></li>
					<li><a id="A2" href="~/Education/EducationMem.aspx" runat="server">EDUCATION</a></li>
					<li class="current_page_item"><a id="A3" href="~/Medical/MedicalMem.aspx" runat="server">MEDICAL</a></li>
					<li><a id="A4" href="~/Infrastructure/InfrastructureMem.aspx" runat="server">INFRA STRUCTURE</a></li>
					<li><a id="A5" href="~/Donation/DonationMem.aspx" runat="server">DONATION</a></li>
					<li><a id="A6" href="~/ContactUs_Mem.aspx" runat="server">CONTACT US</a></li>
				</ul>
               
			</div>
            
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            <asp:ImageButton ID="ImageButton1" runat="server" Height="170px" 
                ImageUrl="~/Images/Untitled-2.png" Width="175px" CausesValidation="False" 
                PostBackUrl="~/HomeMem.aspx" />
		</div>
	</div>
</asp:Content>
<asp:Content ID="Content3" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
    <asp:Panel ID="Panel4" runat="server" Height="1030px" ScrollBars="Vertical" 
        Font-Size="13pt" ForeColor="Black">
        <p>
            <asp:Label ID="med" runat="server" Font-Bold="True" Font-Italic="True" 
            Font-Size="20pt" Text="MEDICAL - MEDICAL RESOURCES - REQUEST"></asp:Label>
            <br />
        </p>
        <p>
            Fill up the details below to start to request for resources that your hospital 
            is lack of or need:</p>
        <p>
            Medicine Name:
            <asp:TextBox ID="TextBox1" runat="server" Width="200px"></asp:TextBox>
            &nbsp;<asp:RequiredFieldValidator ID="RequiredFieldValidator1" runat="server" 
                ControlToValidate="TextBox1" ErrorMessage="Medicine name is required" 
                ForeColor="Red"></asp:RequiredFieldValidator>
        </p>
        <p>
            Medicine Type:
            <asp:DropDownList ID="DropDownList1" runat="server" Width="100px">
                <asp:ListItem>Tablet</asp:ListItem>
                <asp:ListItem>Capsule</asp:ListItem>
                <asp:ListItem>Liquid</asp:ListItem>
                <asp:ListItem>Powder</asp:ListItem>
            </asp:DropDownList>
            &nbsp;<asp:RequiredFieldValidator ID="RequiredFieldValidator2" runat="server" 
                ControlToValidate="DropDownList1" ErrorMessage="Select a medicine type" 
                ForeColor="Red"></asp:RequiredFieldValidator>
        </p>
        <p>
            Quantity(Mg):
            <asp:TextBox ID="TextBox2" runat="server"></asp:TextBox>
            &nbsp;<asp:RegularExpressionValidator ID="RegularExpressionValidator1" 
                runat="server" ControlToValidate="TextBox2" 
                ErrorMessage="Please enter a integer" ForeColor="Red" 
                ValidationExpression="^\d+$"></asp:RegularExpressionValidator>
            <asp:RequiredFieldValidator ID="RequiredFieldValidator3" runat="server" 
                ControlToValidate="TextBox2" ErrorMessage="Quantity is required" 
                ForeColor="Red"></asp:RequiredFieldValidator>
        </p>
        <p>
            Reason: &nbsp;</p>
        <p>
            <asp:TextBox ID="TextBox5" runat="server" Height="80px" TextMode="MultiLine" 
                Width="530px"></asp:TextBox>
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
        <p>
            Hospital Name:&nbsp;<asp:TextBox ID="TextBox3" runat="server" 
            Width="200px"></asp:TextBox>
            &nbsp;<asp:RequiredFieldValidator ID="RequiredFieldValidator6" runat="server" 
                ControlToValidate="TextBox3" ErrorMessage="Hospital is required" 
                ForeColor="Red"></asp:RequiredFieldValidator>
        </p>
        <p>
            &nbsp;</p>
        <p>
            Click on the &quot;Request&quot; button below to start to request other people to help 
        donating the resources that you lack of or need.&nbsp;</p>
        <p>
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            <asp:Button ID="btnRequest" runat="server" Text="Request" Width="100px" 
                onclick="btnRequest_Click" Font-Size="12pt" />
            &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
            <asp:Button ID="Cancel" runat="server" PostBackUrl="~/Medical/MedicalMem.aspx" 
            Text="Cancel" Width="100px" CausesValidation="False" Font-Size="12pt" />
            &nbsp;&nbsp;&nbsp;&nbsp;</p>
    </asp:Panel>
</asp:Content>
